Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Facility		$83.00	$83.00	$83.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $83.00 / $85.00	Professional		$80.00	$83.00	$85.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.84 / $98.63 / $166.88	Facility		$82.84	$98.63	$166.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $95.00 / $201.45	Professional		$85.00	$95.00	$201.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $87.20 / $100.00 / $1,450.57	Facility		$87.20	$100.00	$1,450.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $638.07 / $801.00	Professional		$129.00	$638.07	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $200.00 / $375.00	Facility		$100.00	$200.00	$375.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $380.00 / $380.00 / $450.00	Professional		$380.00	$380.00	$450.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $85.00 / $85.00	Professional		$70.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $100.00 / $100.00	Facility		$83.00	$100.00	$100.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $120.04	Professional		$85.00	$85.00	$120.04
United Facility/Professional Professional Modifier Low / Median / High Price $160.91 / $160.91 / $305.55	Professional		$160.91	$160.91	$305.55